Painless Hair Transplantation

Hair transplantation is an operation that is generally performed using local anesthesia. Naturally, the first questions that come to mind are:

Is Painless Hair Transplantation Possible Or Is It Too Painful?

Ultimately, an intervention must be made for the collection and transplantation of hair in the hair transplantation process. So, what is the extent of these interventions?
Before answering all these questions, it is necessary to talk about the stages of hair transplantation.

Hair Transplantation Stages

Hair transplantation consists of four stages. The stages that will be mentioned here are the stages that make up the basis of the operation on the day of the operation. These are:

  1. Application of local anesthesia (The only and most important part of hair transplantation where you will feel pain)
  2. Harvesting hair follicles
  3. Establishing the channels (in the DHI method, this stage is combined with the next stage)
  4. Transplantation of hair (Local anesthesia is applied beforehand)

    First Stage: Local Anesthesia in Hair Transplantation

    This stage is the most crucial point of painless hair transplantation. In order for the hair to be collected, the hair follicles, together with the skin around the hair, must be cut and separated with the help of a micro-motor. Anesthesia must be administered prior to this procedure.

    Pain from this process cannot be felt as the anesthesia application area will lose sensation. At this point, it would be correct to say that hair transplantation is a painless procedure.
    The only time you will experience pain is at the time of anesthesia administration. As local anesthesia application is painless, hair transplantation can also be considered 'painless'. Although needle anesthesia continues to be used in procedures, there are also new approaches for eliminating the pain caused by this technique. These include:

    • Needle-free local anesthesia/local anesthesia with pressure

    It has been developed to reduce the pain in anesthesia application using needles. It is carried out with a device that can inject the anesthetic substance into the skin with pressure. This device is touched to the skin and with high pressure leaves the fluid anesthetic substance on the skin surface. Afterwards, anesthesia is applied with a needle.

    This anesthetic agent first applied is not homogeneously distributed on the skin and does not penetrate under the skin. In the subsequent application of needle anesthesia, pain may still be felt.

    • Local anesthesia with sedation

    Sedation is one of the most advanced and important facilities in the field of anesthesia in medicine, which can be administered even to children. Sedation describes the administration of the pain relievers (analgesic active substances) in the appropriate doses to the body through a vascular access. Thus, no pain is felt during the procedure, as in drawing blood or other medical interventions. In this application, the consciousness of the person remains intact, but the sensation decreases.

    It is important to have an anesthesiologist present during the sedation process. The dose of sedation to be applied is determined by the doctor depending on the physical activity and pain threshold of the individual.

    Second Stage: Harvesting Hair Follicles

    The hair is collected by separating it from the skin with cylindrical incisions with the help of a micro-motor. Here, the diameter of the tip of the micromotor is a minimum of 0.6 mm, which depends on the thickness of the person's hair and whether single or multiple grafts are being used. Hair is collected with cylindrical needles up to 0.7 mm, 0.8 mm and 1.00 mm in width called punches.

    Third Stage: Opening the Channels

    The channels where the collected hair follicles will be placed for hair transplantation are opened with metal slits and sapphire tips which were invented more recently. Since sapphire tips are smoother, they cause less damage to the skin. The channel opening phase is the most important phase that determines the quality of the operation. While opening the channels where the hair will be transplanted, the angle and direction should be determined very carefully. In this way, a natural-looking transplant can be achieved.

    With the implanter used in the DHI method, hair follicles can be planted without the need to open channels.

    Fourth Stage: Hair Transplantation

    The hair follicle is placed in the channels. What must be noted here is that the channels are opened in the correct direction. If the channels are established in an incorrect direction, the transplanted follicles cannot gain a natural appearance. Another critical point at this stage is which of the opened channels will be planted with single grafts and which with multiple grafts. The basic principle here is to plant single grafts in the more frontal parts of the hairline. With this in mind, a natural look can be achieved more easily.

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